Treatment of Chronic Abacterial Prostatitis: A Review

Evans, Derek T P

doi:10.1177/095646249400500301

Cited by 9 publications

(5 citation statements)

References 42 publications

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“…To cover a larger population of different age groups living in both towns and rural districts, we developed a questionnaire and mailed it to randomly chosen men with diverse social, marital, educational and professional backgrounds, outdoor activities and patterns of sexual behaviour. Some studies show chronic prostatitis to be more common in younger than in older men [15,16], but the present survey, as in the studies of Collins et al [4] and Roberts et al [17], showed that the oldest groups had symptoms most often. BPH is very common in older men and it is possible that these diseases may be linked in some way [4,17,18].…”

Section: Discussionmentioning

confidence: 32%

Epidemiology of prostatitis in Finnish men: a population‐based cross‐sectional study

et al. 2000

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Objective To study the lifetime occurrence of prostatitis in Finnish men and their exposure to the disease. Subjects and methods A population-based cross-sectional survey was conducted in the two most northerly provinces of Finland (Oulu and Lapland). Altogether, 2500 male residents aged 20±59 years were chosen at random to complete a questionnaire on prostatitis. The data were collected between June 1996 and October 1997. Replies were received from 1832 men, giving a response rate of 75%. Results The overall lifetime prevalence of prostatitis was 14.2%. The risk of having or having had prostatitis increased with age, being 1.7 times greater in men aged 40±49 years than in those aged 20±39 years, and 3.1 times greater in those aged 50±59 years. The overall incidence was 37.8/10 000 person years. More than a quarter of the 261 men who had or had had prostatitis symptoms (27%) suffered from them at least once a year, while 16% suffered from persistent symptoms; 63% of the men with prostatitis had their worst symptoms during the winter (November-March). Neither education nor profession had much in¯uence on the occurrence of prostatitis, but divorced and single men had a lower risk than married men. Most patients felt they had not received enough information about the disease at their ®rst visit to a general practitioner. Conclusions The results of this survey showed that the occurrence of prostatitis symptoms in men living in northern Finland is higher than that reported in other parts of the world. This could be partly caused by the cold climate.

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Section: Discussionmentioning

confidence: 32%

Epidemiology of prostatitis in Finnish men: a population‐based cross‐sectional study

et al. 2000

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“…[1] described improvement in five patients with severe and refractory pelvic pain after radical perineal prostatectomy. Radical surgery for chronic bacterial prostatitis has a role [2] but the procedure is considered too morbid for chronic prostatitis/chronic pelvic pain syndrome [3]. There was nothing in the present patient's clinical history that might suggest why he would have relief from pain after surgery.…”

Section: Commentmentioning

confidence: 92%

Radical prostatectomy for chronic prostatitis

Alexander

2003

BJU International

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“…In addition a high fluid intake, such as 3 litres daily, regular bowel habit with a soft stool, and regular prostatic drainage by ejaculation are all beneficial (15,26). Possibly regular overall habits help.…”

Section: Managementmentioning

confidence: 99%

The Chronic Prostatitis Syndromes

Thin

1997

J R Army Med Corps

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Three chronic prostatitis syndromes are recognised, chronic bacterial prostatitis (CBP), chronic nonbacterial prostatitis (CNBP), and prostatodynia. All may occur in men of military age, and may tax the patience of medical officers and patients whose capacity for full duty will be impaired. Diagnosis depends on identifying micro-organisms in CBP and white cells in CNBP in prostatic secretion (EPS) expressed by prostatic massage. In prostatodynia there are clinical features of prostatitis but no evidence of inflammation. Prostatic massage should be preceded by trans-rectal ultrasound which may show prostatitis and other pathology, and has simplified the investigation of these syndromes. Management includes a high fluid intake, regular bowels with a soft stool, regular prostatic drainage by ejaculation and limited alcohol intake. Antimicrobials are indicated for CBP and probably for CNBP, and need to be continued for at least three months in many cases. Other measures for treating CNBP are less well established. Prostatodynia is an ill defined syndrome which requires careful evaluation and patients may need psychiatric therapy.

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Treatment of Chronic Abacterial Prostatitis: A Review

Cited by 9 publications

References 42 publications

Epidemiology of prostatitis in Finnish men: a population‐based cross‐sectional study

Epidemiology of prostatitis in Finnish men: a population‐based cross‐sectional study

Radical prostatectomy for chronic prostatitis

The Chronic Prostatitis Syndromes

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